What Does CMS Stand For in Health Care?

The Centers for Medicare and Medicaid Services is an umbrella organization for various government healthcare programs such as Medicare and state and federal health insurance plans. CMS oversees research reports, data analyses related to potential fraud or any other issue which might drain a health care system’s resources.

President Lyndon B. Johnson created the CMS program in 1965 as a way to provide health care to low-income Americans. Over time, however, its role has expanded considerably and now encompasses everything from Medicare coverage to the ACA Marketplace.

CMS is well-regarded in healthcare circles for their oversight of Electronic Health Records (EHR). EHR systems record patient medical histories and make this information easily available for access by physicians – the goal being improved patient safety, smooth workflows and ultimately cost reduction in healthcare services.

Nearly every doctor and hospital in the US employs an EHR approved by CMS, though full interoperability between systems remains an ongoing challenge. According to the Office of the National Coordinator (ONC), 96% of hospitals have already established certified and federally tested systems – these have helped support payouts to doctors and hospitals of over $35 billion and may reduce overall healthcare costs by 20% according to ONC estimates.

CMS regulates Medicaid, which provides health coverage to people with lower incomes. This program is administered jointly between federal and state authorities; with federal authorities providing core benefits while states may add their own unique offerings to meet state needs. While CMS sets general standards that all programs must meet, their flexibility allows each state program to meet them appropriately.

As part of its duties, CMS conducts regular reviews and inspections to ensure healthcare providers comply with regulations. If a healthcare facility falls below clinical and quality standards, penalties are applied accordingly while outstanding facilities receive praise or rewards from CMS for excelling at these areas – helping keep costs in check while simultaneously making more patients eligible to receive care.

Proudly powered by WordPress | Theme: Sprout Blog by Crimson Themes.